Active NPI
Jessica Lee Regele
- Acute Care Nurse Practitioner
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1030848
- Practice address
- 4500 Medical Ctr Dr
McKinney, TX 75069-1650 - Phone
- (972) 547-8000
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012033999 | MO | |
| Registered Nurse | 163W00000X | 14-143589-061 | KS | |
| Acute Care Nurse Practitioner | 363LA2100X | 2018039446 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 1030848 | TX | Primary |
Addresses
Primary practice location
4500 Medical Ctr Dr
McKinney, TX 75069-1650
Mailing address
5150 Warren Pkwy BLDG 8
Frisco, TX 75034-7462
Phone (972) 403-8184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000
Hospital & facility affiliations
- Medical Center of McKinney
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-143589-061 | KS | MD | Registered Nurse |
| 2012033999 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Medical Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Lonestar Provider Network | Single Specialty | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000
900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827
1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450
4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1508217811
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1174005177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 WARREN PKWY BLDG 8",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347462",
"telephone_number": "972-403-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEDICAL CTR DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691650",
"telephone_number": "972-547-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGELE",
"first_name": "JESSICA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012033999",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-143589-061",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2018039446",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1030848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.